Active NPI
Bret S Gordon, D.O.
- Obstetrics & Gynecology Physician
- Overland Park, KS
National Provider Identifier
1972507366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0530651
- Practice address
- 12330 Metcalf Ave
Ste 420
Overland Park, KS 66213-1324 - Phone
- (913) 323-9000
- Fax
- (913) 323-9001
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2001015997 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 0530651 | KS | Primary |
Addresses
Primary practice location
12330 Metcalf Ave
Ste 420
Overland Park, KS 66213-1324
Mailing address
901 E 104TH St
Mailstop 400N
Kansas City, MO 64131-4517
Phone (816) 502-7104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209093103 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040701000315 | MO | Practitioner - Obstetrics/Gynecology | 2860479581 | Reassigns benefits to 1 organization |
| I20141111000809 | KS | Practitioner - Obstetrics/Gynecology | 2860479581 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Saint Lukes Physician Group Inc
Practice addresses (Care Compare)
4061 Indian Creek Pkwy
Overland Park, KS 66207-4030
Phone (816) 932-4630
Hospital & facility affiliations
- Saint Luke'S South Hospital
- Anderson County Hospital
- St Lukes Hospital of Kansas City
- Menorah Medical Center
- Allen County Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 76.07
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 65.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0530651 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Physician Group Inc | Current | Accepting new patients | |
| Carondelet Physician Services, Inc. | Past | Accepting new patients |
Locations
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
711 Marshall St
Leavenworth, KS 66048
Phone (913) 684-1100
4061 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 323-4600
12330 Metcalf Ave
Ste 420
Overland Park, KS 66213
Phone (913) 323-9000
12330 Metcalf Ave
Ste 500A
Overland Park, KS 66213
Phone (913) 323-9000
901 E 104th St
#400N
Kansas City, MO 64131
Phone (816) 502-8756
601 S US Highway 169
Smithville, MO 64089
Phone (816) 532-3999
Interoperability endpoints
- bgordon72203@direct.saint-lukes.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Grain Valley, MO
- NPI 1699040006
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Iola, KS
- NPI 1639185457
Hospital
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1154303337
Hospital
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1063494177
Hospital
-
- General Acute Care Hospital
- Kansas City, MO
- NPI 1932642972
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1972507366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 104TH ST",
"address_2": "MAILSTOP 400N",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641314517",
"telephone_number": "816-502-7104",
"fax_number": "816-932-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12330 METCALF AVE",
"address_2": "STE 420",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662131324",
"telephone_number": "913-323-9000",
"fax_number": "913-323-9001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORDON",
"first_name": "BRET",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2001015997",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "0530651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209093103",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.